1 Organizational, Time Management, and Planning Treatment for Children with ADHD (OTMP Study) NIMH-funded R01 New York University – Howard Abikoff, PI.

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Presentation on theme: "1 Organizational, Time Management, and Planning Treatment for Children with ADHD (OTMP Study) NIMH-funded R01 New York University – Howard Abikoff, PI."— Presentation transcript:

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2 Rationale for the Study  Children with ADHD often evidence significant difficulties with organization Planning and completing assignments Managing materials for school and activities Remembering tasks and materials Creating a schedule to complete tasks Keeping track of time  This negatively impacts academic performance and creates parent-child conflict, particularly around homework

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3 Rationale for Study, con’t.  Despite the large ADHD treatment literature, no research has addressed OTMP behaviors specifically  Contingency management approaches show some benefit for end-point goals such as homework completion and academic productivity but has not been evaluated for effects on organizational skills  OTMP skills training differs from cognitive training and social skills training which have not been shown to be effective for ADHD children  A skills-based approach is based on extensive clinical observations and experience that a skill deficit exists and that direct instruction may be beneficial

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5 Specific Aims  Compare a skills-based intervention to a contingency management intervention for organizational deficits in ADHD children Outcomes also assessed on academic performance, homework behaviors, attitude towards school, and parent-child relations  Evaluate both treatments to a wait-list control group  Evaluate the long-term impact of treatment One month post-treatment follow up; one and four months into the next school year  Explore impact of parent ADHD on parents’ treatment compliance and children’s outcomes

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10 Rationale for PATHKO Long history of the use of contingency management approaches, esp. parent training (PT) with ADHD children PT improves primary symptoms, co- morbid conditions and functional impairments in ADHD PT improves parent-child conflict in children with disruptive and oppositional behavior

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11 Primary Assumptions of PATHKO Enhancing motivation through parent/teacher training will result in improvements in problems related to organizational skills. Focus will be on end-point target behaviors; not on skills training Focus on problems related to organization, management and planning; not on skills per se